Provider Demographics
NPI:1942750302
Name:EVA VICTORIA CHOMKA, MD
Entity Type:Organization
Organization Name:EVA VICTORIA CHOMKA, MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EVA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOMKA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:312-401-3043
Mailing Address - Street 1:3242 N NEWCASTLE AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60634-4638
Mailing Address - Country:US
Mailing Address - Phone:312-401-3043
Mailing Address - Fax:
Practice Address - Street 1:13400 S ROUTE 59
Practice Address - Street 2:SUITE 208
Practice Address - City:PLAINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60585-5826
Practice Address - Country:US
Practice Address - Phone:312-401-3043
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-10
Last Update Date:2016-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty